Online Registration

JMU Nursing Student Association Stroke 5K Run/Walk
  
 

November 15, 2009
JMU Festival Lawn
Harriosnburg Virginia

Online Registration Is Now Closed
           
JMU Nursing Student Association is holding it's first Stroke 5K Run/Walk to increase awareness and share our knowledge about risk factors and prevention for those at risk for strokes in the community. All proceeds are going to Rockingham Memorial Hospital's efforts in becoming a stroke rehabilitation center.
       

Race Day Check In: 1:30 PM at the JMU Festival Lawn

Race Time: 2 PM

Proceeds Go To: Rockingham Memorial Hospital

Entry Fee: $10 Pre-registration

                 $15 Day of the Race
          
 

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration.  For online registration a processing fee of $1.00 will be added to the registration fee.
   
Stroke 5K Run/Walk
 
   Last Name:


   First Name:


        Address:


               City:


             State:


                Zip:


            Email:


           Phone:


Age On Race Day:

In consideration of this entry, being accepted, I hereby for myself, heirs, executers and administrators waive and release any claims that I may have against the City of Durham or any of the sponsors involved in the Seven Stars 5k Fun Walk/Run. I certify that I am physically able to participate in this event.

Agree With Waiver:


                Signature:               (Parents Signature required if under 18)



Click below to proceed to a secure credit card processing page.  To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Online Registration Is Now Closed
 
   
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